Source · Investigations in the NHS

Investigations in the NHS

896 investigations 8078 recommendations 11 regions

Independent investigation reports and reviews commissioned by government or NHS bodies. Includes mental health homicide investigations, major maternity reviews, patient safety reviews, and other independent investigations into healthcare failures.

Coverage

By region & key findings

Investigations by region

Key findings

896 independent health investigations across 11 regions, producing 8,078 recommendations. 76% of investigations have extracted recommendations. 683 investigations have recommendations tracked.

Investigations

Click an entry for full report & recommendations
Jun 2014
North East and Yorkshire
Investigation into matters relating to Jimmy Savile at Whitby Memorial Hospital
York Teaching Hospital NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Whitby Memorial Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Jun 2014
Midlands
Investigation into matters relating to Jimmy Savile at Woodhouse Eaves Children's Convalescent Home
University Hospitals of Leicester NHS Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Woodhouse Eaves Children's Convalescent Home. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
Jun 2014
North West
Investigation into matters relating to Jimmy Savile at Wythenshawe Hospital
University Hospital of South Manchester NHS Foundation Trust · NHS Trust internal investigation
Investigation into allegations of abuse by Jimmy Savile at Wythenshawe Hospital. Part of 44 NHS investigations commissioned by the Department of Health following revelations about Savile in 2012.
4 recommendations Report PDF
Jun 2014
North East and Yorkshire
*Independent investigation into the care and treatment of Patient E: June 2014
Northumberland, Tyne and Wear NHS Foundation Trust
This is the executive summary of the independent investigation into the care and treatment of Patient E . At the time of the homicide (2008) Patient E was receiving mental health services provided by Northumberland, Tyne and Wear NHS Foundation Trust. The associated action plan arising from the investigation is also available.
29 recommendations Report PDF Action Plan
May 2014
South West
Independent investigation into the care and treatment of Mr MC and the homicide of Mr GN: May 2014
· Niche
This is the report of the independent investigation into the care and treatment of Mr MC . South West Strategic Health Authority commissioned the care of Mr MC but NHS England took over the responsibility for commissioning these services as specialist commissioners following the reconfiguration of the NHS in 2013. The trust response to the Niche Independent Inquiry into the care and treatment of Mr MC (a mental health service user) is available.
13 recommendations Report PDF
Apr 2014
South West
Mental health homicide investigation legacy report into the care and treatment of Mr A
Mr A . Mr A was a former patient from Avon and Wiltshire Mental Health Partnership NHS Trust
This is the report of the independent investigation into the care and treatment of Mr A . Mr A was a former patient from Avon and Wiltshire Mental Health Partnership NHS Trust. The following documents are available: Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.
7 recommendations Report PDF Action Plan
Apr 2014
South West
Mental health homicide investigation legacy report into the care and treatment of Ms A
This is the mental health homicide investigation report into the care and treatment of Ms A . The following documents are available: Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.
11 recommendations Report PDF Action Plan
Apr 2014
South West
Mental health homicide investigation legacy report into the care and treatment of Ms X
This is the mental health homicide investigation report into the care and treatment of Ms X . The following documents are available: Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.
7 recommendations Report PDF Action Plan
Mar 2014
South East
An independent inquiry into the care and treatment of Ms B: March 2014
This is the report of the independent investigation into the care and treatment of Ms B . At the time of the homicide (2012) Ms B was a patient at Oxford Health NHS Foundation Trust.
42 recommendations Report PDF
Mar 2014
North West
An Independent investigation into the care and treatment of Patient E (Case Ref: 2011/2424): March 2014
Pennine Care NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Patient E . At the time of the death (2011) Patient E was receiving mental health services provided by Pennine Care NHS Foundation Trust. The associated action plan has been published by the trust.
1 recommendation Report PDF Action Plan
Mar 2014
South East
Independent investigation into the care and treatment of Mr R: March 2014
Mr R . At the time of the homicide (January 2013) Mr R was receiving care and treatment from Oxford Health NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr R . At the time of the homicide (January 2013) Mr R was receiving care and treatment from Oxford Health NHS Foundation Trust.
4 recommendations Report PDF
Mar 2014
South East
Independent investigation into the care and treatment of Mr T and Mr U: March 2014
Mr T and Mr U . At the time of the homicide (2012) Mr T and Mr U were ex-mental health service-users from Berkshire Healthcare NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr T and Mr U . At the time of the homicide (2012) Mr T and Mr U were ex-mental health service-users from Berkshire Healthcare NHS Foundation Trust. The action plan is also available.
9 recommendations Report PDF Action Plan
Feb 2014
South East
*Independent investigation into the actions of Dr Barend Delport
NHS England (Kent and Medway) has published the following report which summarises the findings of an NHS investigation into the actions of Dr Barend Delport, who was sentenced to imprisonment in September 2013 having been found guilty of committing serious crimes against some of his patients. The report details actions taken by the NHS as a result of this particular incident in order to protect patients.
Report PDF
Jan 2014
North East and Yorkshire
*Independent investigation into the care and treatment of Patient 2009/3245: January 2014
Tees, Esk and Wear Valleys NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Patient 2009/3245 . At the time of the homicide Patient 2009/3245 (2009) was receiving mental health services provided by Tees, Esk and Wear Valleys NHS Foundation Trust. The associated action plan is also available.
10 recommendations Report PDF Action Plan
Dec 2013
North West
*Independent investigation into the care and treatment of Miss E: December 2013
Lancashire Care NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Miss E . At the time of the homicide (2011) Miss E was receiving mental health services provided by Lancashire Care NHS Foundation Trust. The associated action plan has been published by the trust.
3 recommendations Report PDF Action Plan
Dec 2013
London
Independent investigation into the care and treatment of Mr C and Mr D: December 2013
Camden and Islington NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr C and Mr D . At the time of the homicide (2011) they were both in receipt of psychiatric services provided by Camden and Islington NHS Foundation Trust. The associated action plan has been published by both trusts
10 recommendations Report PDF Action Plan
Dec 2013
North West
*Independent investigation into the care and treatment of Mr F: December 2013
Lancashire Care NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr F . At the time of the homicide (2011) Mr F was receiving mental health services provided by Lancashire Care NHS Foundation Trust. The associated action plan has been published by the trust.
3 recommendations Report PDF Action Plan
Dec 2013
North West
*Independent investigation into the care and treatment of Mr W: December 2013
Merseycare NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr W . At the time of the homicide (2006) Mr W was receiving mental health services provided by Merseycare NHS Foundation Trust.
4 recommendations Report PDF
Dec 2013
North East and Yorkshire
*Independent investigation into the care and treatment of Patient G: December 2013
Northumberland, Tyne and Wear NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Patient G . At the time of the homicide (2009) Patient G was receiving mental health services provided by Northumberland, Tyne and Wear NHS Foundation Trust. The associated action plan has been published by the trust.
18 recommendations Report PDF Action Plan
Nov 2013
East of England
*Independent investigation into the care and treatment of Mr A: November 2013
Hertfordshire Partnership NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Mr A . At the time of the homicide (2010) Mr A was under the care of Hertfordshire Partnership NHS Foundation Trust. The following action plans are available:
18 recommendations Report PDF Action Plan
Nov 2013
North West
Independent investigation into the care and treatment of Mr Z: November 2013
Manchester Mental Health and Social Care NHS Trust
This is the report of the independent investigation into the care and treatment of Mr Z . At the time of the homicide (2010) Mr Z was under the care of the Manchester Mental Health and Social Care NHS Trust.
10 recommendations Report PDF
Nov 2013
North East and Yorkshire
*Independent investigation into the care and treatment of Patient C: November 2013
Northumberland, Tyne and Wear NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Patient C . At the time of the homicide (2007) Patient C was receiving mental health services provided by Northumberland, Tyne and Wear NHS Foundation Trust. The associated action plan has been published by the trust.
19 recommendations Report PDF Action Plan
Nov 2013
North East and Yorkshire
*Independent investigation into the care and treatment of Patient I: November 2013
Northumberland, Tyne and Wear NHS Foundation Trust
This is the report of the independent investigation into the care and treatment of Patient I . At the time of the homicide (2010) Patient I was receiving mental health services provided by Northumberland, Tyne and Wear NHS Foundation Trust. The associated action plan has been published by the trust.
7 recommendations Report PDF Action Plan
Nov 2013
South East
*Mental health homicide investigation legacy report into the care and treatment of Mr H: November 2013
This is the mental health homicide investigation report into the care and treatment of Mr H. Note: NHS England’s south region has published a mental health homicide legacy report. This was commissioned by the former strategic health authority, but not published before that organisation was abolished on 31 March 2013.
7 recommendations Report PDF